Maynou Carlos, Szymanski Christophe, Thiounn Alexis
CHU Lille, Orthopaedic Department, F-59000 Lille, France.
EFORT Open Rev. 2017 May 11;2(5):221-229. doi: 10.1302/2058-5241.2.160077. eCollection 2017 May.
Cavovarus deformity can be classified by the severity of malalignment ranging from a subtle and flexible to a severe and fixed cavovarus deformity of the foot.In the mild cavovarus foot, careful clinical assessment is required to identify the deformity.Weight-bearing radiographs are necessary to indicate the apex of the deformity and quantify the correction required.Surgery is performed when conservative measures fail and various surgical procedures have been described, including a combination of soft-tissue releases, tendon transfers and osteotomies, all with the aim of achieving a plantigrade and balanced foot.Joint-sparing surgery is the best option in flexible cavovarus foot even in Charcot-Marie-Tooth (CMT) disease (peroneal muscular atrophy).Arthrodesis is indicated in severe rigid cavus foot or in degenerative cases. Cite this article: 2017;2. DOI: 10.1302/2058-5241.2.160077. Originally published online at www.efortopenreviews.org.
高弓内翻畸形可根据足部排列不齐的严重程度进行分类，范围从轻微且可复性到严重且固定性的足部高弓内翻畸形。对于轻度高弓内翻足，需要仔细的临床评估以识别畸形。负重位X线片对于确定畸形的顶点和量化所需的矫正程度是必要的。当保守治疗失败时进行手术，并且已经描述了各种手术方法，包括软组织松解、肌腱转移和截骨术的联合应用，所有这些方法的目的都是使足部达到平足且平衡。即使在夏科-马里-图斯病（腓骨肌萎缩症）中，保留关节的手术也是可复性高弓内翻足的最佳选择。对于严重僵硬性高弓足或退行性病例，需行关节融合术。引用本文：2017；2。DOI：10.1302/2058-5241.2.160077。最初在线发表于www.efortopenreviews.org。
